Final Exam AIDS and STDs

Question 1

s/s with chronic symptomatic phase

Answer 1

Thrush, shingles, vaginal candida, herpes, hairy leukopenia, Kaposi’s sarcoma.

Question 2

What phase of HIV/AIDS has low viral load?

Answer 2

Chronic asymptomatic

Question 3

CD4 and T cell count with AIDS phases

Answer 3

All decreased, except it is fairly normal in chronic asymptomatic.

Question 4

Treatment of AIDS with drugs

Answer 4

Need to use at least 3 drugs from 2 different classes (could be much more). Set reminders to take all meds ON TIME!

Question 5

Normal T-Cell count

Answer 5

800-1200

Question 6

When are pregnant women treated with ART

Answer 6

at 36 weeks will decrease chance of baby contracting dz from 25% to 2%

Question 7

What age does the CDC recommend for testing regardless of risks or exposure?

Answer 7

13-64 years old

Question 8

What is a common side effects from being on ART

Answer 8

Metabolic disorders. Fat deposits around the body. May need drug regiment changed.

Question 9

Truvada

Answer 9

Part of PrEP. Its a drugs that is used for ppl who have sex with someone who has HIV (someone married to a person who has HIV, but they dont)

Question 10

PrEp

Answer 10

Preexposure prophylaxis. Includes safe sex, risk counseling, regular testing, and drugs (Truvada)

Question 11

Wasting Stndrome

Answer 11

Unwanted weight loss of 10% or more of ideal body mass

Question 12

Goal of ART

Answer 12

To decrease viral load while maintaining/increasing T cell counts

Question 13

How long do you wait to have sex if outbreak occurs

Answer 13

7 days, even with a condom

Question 14

Which diseases are usually reportable?

Answer 14

Gonorrhea, syphylis, chlamydia, AIDS

Question 15

Which two STDs are found commonly together?

Answer 15

Gonorrhea and Chlamydia

Question 16

Lab tests for syphlis

Answer 16

VDRL or RPR first. If come back positive, also need to get FTA or TPPA to confirm

Question 17

Gardisil

Answer 17

Vaccine for HPV ages 9-26. 3 IM shots over a 6 month period.

Question 18

Cx of HPV

Answer 18

Cancer, block birth canal, and resp disease

Question 19

Cx of herpes

Answer 19

Keratitis (small lesions), can be fatal to neonate

Question 20

Cx of syphilis

Answer 20

Can spread all over body, stillbirth, and birth defects

Question 21

Which diseases have a cure?

Answer 21

Gonorrhea, chlamydia, and syphilis

Question 22

Two types of antibody tests for HIV

Answer 22

Enzyme immunoassay (EIA) and Rapid HIV

Question 23

How long does antigen test take?

Answer 23

1-3 weeks

Question 24

How long do the antibody tests take?

Answer 24

Rapid- 10 to 20 min

EIA- 2 weeks

Question 25

What test is used to confirm HIV and how long do results take?

Answer 25

Western Blot test, takes 2 weeks

Question 26

T cell count to be declared immunocompromised

Answer 26

less than 500

Question 27

Which test is used most frequently for HIV in babies?

Answer 27

Polymerase chain reaction (PCR)

**Can diagnose after 2-3 weeks of infection

Question 28

When does the acute infection phase occur and for how long (HIV)

Answer 28

Occurs 2-4 weeks after infection and lasts 1-2 weeks

Question 29

6 main complications of ART

Answer 29

Metabolic disorders, hyperlipidemia, insulin resistance, hyperglycemia, bone dz, CV dz

Question 30

Lab tests for gonorrhea

Answer 30

Smears/gram stains. This only works for men, might be false positive in women

Question 31

How do you test for gonorrhea for women

Answer 31

Cultures need to be done. Smears will give false positive

Question 32

Acyclovir

Answer 32

Herpes. Can decrease outbreaks by 80%

Question 33

Penicillin G

Answer 33

given IM for treating Syphilis

Question 34

Doxycyline

Answer 34

Oral med, given to treat Syphlis

Question 35

Why do they do VDRL or RPR first for Syphilis diagnosis?

Answer 35

The second confirming tests are very expensive